Inspection on 19/06/07 for Crawshaw Hall Medical Centre

This inspection was carried out on 19th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Crawshaw Hall Medical Centre 17/07/06

Crawshaw Hall Medical Centre 19/12/05

Crawshaw Hall Medical Centre 10/05/05

Crawshaw Hall Medical Centre 15/09/04

Crawshaw Hall Medical Centre 20/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Crawshaw Hall Medical Centre Burnley Road Crawshawbooth Rossendale Lancashire BB4 8LZ Lead Inspector Mrs Susan Hargreaves Unannounced Inspection 19th June 2007 10:00 Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People and Care Homes for Adults 18 – 65*. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Crawshaw Hall Medical Centre Address Burnley Road Crawshawbooth Rossendale Lancashire BB4 8LZ 01706 228695 01706 215670 enquiries@crawshawhall.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Eileen Karoo Mr Adrian Mark Andrew Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21), Physical disability (21) of places Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. Staffing for service users requiring nursing care will be in accordance with the Notice issued dated 7 December 2001 The registered provider shall at all times, employ a suitably qualified and experienced person who is registered with the Commission for Social Care Inspection as manager of Crawshaw Hall Medical Centre Within the overall total of 21 a maximum of 10 service users requiring personal care who fall into the category of PD. A maximum of 21 service users requiring nursing care who fall into the category of either OP or PD. Within the overall total of 21 a maximum of 1 service user requiring personal care who falls within the category of OP. The total number of service users within these categories must not exceed 21 (twenty one). 17th July 2006 Date of last inspection Brief Description of the Service: Crawshaw Hall Medical Centre is registered to provide either nursing or personal care for up to 21 residents. Older and younger adults may be admitted to the home. Accommodation is provided in single rooms on the ground and first floors. A large communal lounge with dining area is located on the ground floor. There is a smaller lounge on the first floor where smoking is permitted. A passenger lift facilitates access to all areas of the home. The home is a grade 2 listed building with extensive grounds. Crawshaw Hall is situated on the outskirts of Crawshawbooth with shops and a public house. There is a reasonable bus service to the area. The current fees charged at Crawshaw Hall Medical Centre are £319 - £1500 per week. Additional charges are payable for chiropody, hairdressing, magazines, toiletries, activities outside the home and holidays. A copy of the statement of purpose and service user guide was available to prospective residents and their relatives on request. Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the home, was conducted on the 19th of June 2007. No additional visits have been made since the last inspection. The relative of one resident completed a survey stating the overall care seems to be pretty good. At the time of this inspection 18 residents were living at the home. A tour of the premises took place and staff files and care records were inspected. Members of staff on duty, residents and visitors were spoken to. Discussions also took place with the manager regarding issues raised during the inspection. What the service does well: What has improved since the last inspection? Prospective residents and their relatives receive confirmation in writing that their needs can be met at the home. All residents have a care plan. These were up dated when the needs of the resident changed. Residents admitted regularly for respite care had their care plan reviewed at each admission. Risk assessments about nutrition were Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 6 routinely carried out for all residents. Wound care records were up to date and provided detailed information about the care and condition of the wound. Procedures for the management of medication have improved. A record of all medication received into the home is kept. Medication was administered as prescribed by the doctor and accurate records of the administration of medication were kept. Repeat prescriptions were ordered in time to make sure there was a continuing supply of medication. Training for NVQ qualifications in care is encouraged. When the four care workers currently working towards NVQ level 2 in care have completed the training more than 50 of care workers will have an NVQ level 2 in care. Recruitment procedures have improved and all the required pre-employment checks are completed prior to appointment. A training pack, which includes a DVD and written questions, has been purchased to ensure all members of staff regularly receive training in fire safety. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 (adults 18-65) and 3 (older people) Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. A thorough admissions procedure ensured the needs of people using the service were identified and met. EVIDENCE: The individual care records of two reisidents were inspected. Each contained a detailed pre-admission assessment. A senior member of staff visited prospective residents in hospital or their own home prior to admission. These assessments provided important information for the care plans. Prospective residents or their relatives received confirmation in writing that their needs could be met at the home. Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 9 Standard 6 (older people) is not applicable to this service. Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 8 (adults 18-65) 7 and 14 (older people) Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. Residents were encouraged and supported to make decisions about the care they receive and their lifestyle. EVIDENCE: The individual care plans of two residents were inspected. These care plans identified the personal and healthcare needs of each resident and explained how these needs were met. Appropriate risk assessments had been carried Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 11 out. Information about how identified risks were managed was also included in the care plans. Records relating to the care of a pressure sore for another resident included details of dressing changes and the condition of the sore. All care plans and risk assessments were reviewed monthly. The care plan for a resident admitted regularly for respite care was reviewed on each admission. Residents and their relatives were invited to be involved in planning care. Residents were encouraged to make decisions about their lifestyle and activities. These were recorded in their individual care plans. Advocacy services were used by one of the residents. Information about how to contact these services was displayed in the home. Residents were encouraged and supported to manage their own finances. Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 and 17(adults 18-65) 10,12,13 and 15 (older people). Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 13 Residents were consulted about leisure activities and supported by care workers to have an active and fulfilling lifestyle. EVIDENCE: Residents were encouraged to pursue their own interests and hobbies. A variety of activities were organised in the home. These included, dominoes, cards, chess, monopoly, scrabble, skittles, quizzes and manicures. One resident said they had a karaoke night at least once a month. One resident said a trip out was arranged almost every week. Another resident said he had enjoyed a visit to the Trafford Centre the previous week. Some residents also visited the local shops, library and pub. Residents were encouraged to put their suggestions in the box in the hall. One resident said staff regularly checked this box. Discussion with residents and staff confirmed that the daily routine was flexible in order to meet the needs and preferences of the residents. One resident said she liked to go to bed early to watch television. Visitors were welcomed into the home at anytime. One relative wrote on the survey ‘visiting has no restrictions’. All the residents asked said the meals were good. One resident explained the meals were varied and two choices were offered for dinner and tea. He said staff came round with the menu so residents could choose what they wanted to eat. Visiting relatives explained the liquidised meal served to their mother looked appetising because all the components were liquidised separately. Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) Service users retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicines. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, and 20 (adults 18 –65) 8,9, and 10 (older people). Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. The personal and healthcare needs of each resident were identified and met. Medication was managed safely. EVIDENCE: Personal care was carried out in the privacy of the resident’s own room or bathroom. Two care workers explained in detail how they promoted privacy and dignity for all residents. One resident said, “The staff are nice and kind.” Another resident said he was treated with respect. Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 15 Residents were registered with a GP and had access to other healthcare professionals. The wound care records of one resident were inspected. These were up to date and included detailed information about the care and condition of the wounds. At the time of the inspection none of the residents were responsible for administering their own medication. Registered nurses were responsible for administering all medication. Records relating to the management of medication were seen to be up to date. Medication was stored correctly in a locked trolley, cupboards and fridge inside a locked utility room. The temperature of the fridge and utility room were checked and recorded daily. Controlled drugs were stored securely and a stock check was satisfactory. Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 (adults 18-65) 16,18 and 35 (older people) Quality in this outcome are is adequate. This judgement has been made using available evidence including a visit to this service. Residents felt able to express their concerns. Some care workers had not been given the training necessary to ensure they understood the principles of safeguarding of vulnerable adults. EVIDENCE: A copy of the complaints procedure was included in the service user guide and displayed in the home. Residents have made three complaints since the last inspection. Although records of the complaints were available there was no information about the investigation or outcome. Policies and procedures relating to the safeguarding of vulnerable adults were in place. This issue was discussed with the manager and four care workers. Although they would all report any concerns two of the care workers said they had not received any training in safeguarding vulnerable adults. Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 (adults 18-65), 19 and 26 (older people). Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. The premises were well maintained and provided a comfortable and ‘homely’ environment for the residents. EVIDENCE: At the time of the inspection the home was clean, tidy and well maintained. This provided a safe and comfortable environment for the residents. Since the Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 18 last inspection new units and a dishwasher have been installed in the kitchenette. The lounge and dining room were in the process of being redecorated. These communal rooms were suitable for a variety of social and cultural activities. One visitor said the home was always clean. Residents had personalised their bedrooms with photographs, pictures and a variety of electronic gadgetry. The grounds and gardens are accessible to all residents. Laundry facilities were suitable for the size of the home. An infection control police was available. Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 (adults 18-65), 27,28,29 and 30 (older people). Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. Members of staff were encouraged to acquire the skills and knowledge needed to provide effective care for the residents. Recruitment procedures were thorough. EVIDENCE: Examination of the duty rota confirmed that a sufficient number of staff were on duty for all shifts in order to meet the assessed needs of the residents. Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 20 It was evident from discussion with the manager and four members of staff that training opportunities were available. This included, first aid, moving and handling, health and safety and basic food hygiene. Three care workers had an NVQ level 2 in care. In addition to this a further four care workers were working towards NVQ level 2. Each member of staff also had an individual training plan. The files of three members of staff appointed since the last inspection were examined. These files indicated that all the required pre-employment checks to ensure protection of the residents had been completed prior to appointment. Induction training for new employees took place but needed further development in order to meet the ‘Skills for Care’ standard. Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 (adults 18-65), 31,33,35 and 38 (older people). Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. Although the home was effectively managed deficiencies in kitchen hygiene and fire safety training could put residents at risk. Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 22 EVIDENCE: The registered manager is an experienced nurse and has obtained the NVQ Registered Manager’s Award. He has recently up dated his moving and handling training and is currently working towards the NVQ assessor Award. The home had achieved the nationally accredited Investors in People award. Resident’s were encouraged to express their opinions about the quality of care and facilities at resident’s meetings and informally at anytime. Minutes of these meetings were seen. Anonymous satisfaction questionnaires had been distributed to the residents May 2007. These were evaluated by management and areas for improvement identified. An annual business plan to help monitor the quality of the service and further improve outcomes for residents was in place. Transactions involving resident’s money were well maintained and up to date. Policies and procedures relating to safe working practices were available. However, one care worker said she had not up dated her moving and handling training since 2005. Fire alarms and emergency lighting were tested regularly. Fire drills took place regularly and staff attendance records were kept. A new training DVD for fire prevention had been purchased. When members of staff have watched this DVD they are asked to complete a number of written questions in order to test their knowledge. However, a senior member of staff said she had never been present in the home for a fire drill and had not been given any training in fire safety. A fire risk assessment was in place. The manager up dated this regularly. Records of the routine servicing of equipment were seen including an electrical installation certificate dated 29/11/05 and gas safety certificate dated 29/03/07. The testing of small electrical appliances was carried out in May 2007. Records maintained in the kitchen included fridge, freezer and food temperatures. The fridge in the kitchenette needed cleaning and defrosting. Cooked meat on a plate in the fridge was undated. Records of the temperature of the fridge and freezer were not kept. The microwave oven also needed cleaning. Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT Standard No Score 37 3 38 X 39 3 40 X 41 X 42 2 43 X 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 24 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA23 Regulation 13(6) Requirement To ensure all members of staff understand how to safeguard residents from abuse they must receive training in safeguarding vulnerable adults. To ensure correct procedure is followed in the event of a fire all members of staff must have regular fire drills and training in fire safety. Timescale of 29/09/06 not met. To prevent the spread of infection in the home the microwave oven and the fridge in the kitchenette must be kept clean. The temperature of the fridge and freezer must be checked and recorded daily. Timescale for action 31/08/07 2 YA42 23(4)(d) (e) 31/08/07 3 YA42 13(3) 20/07/07 Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA22 YA35 YA42 Good Practice Recommendations To ensure complaints are taken seriously and resolved details of the investigation and any action taken as a result should be kept. Structured induction training, which meets the ‘Skills for Care’ standards, should be in place to ensure all care workers are competent to meet the needs of the residents. All members of staff should have regular up to date training in moving and handling procedures. This will ensure staff are working safely to prevent injury to themselves and residents. Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI. Crawshaw Hall Medical Centre DS0000022511.V338255.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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